| NPI | 1508986621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI I SMALLEY Billing Administrator 541-482-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071556) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-04-25 |