| NPI | 1427296623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A KOZAK Owner 541-479-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |