| NPI | 1457221103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WILLIAMS CEO 503-344-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2026-02-05 |