| NPI | 1396040598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES CAROL YOUNG Staff Anesthetist 541-472-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OR 082010407CRNA) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |