| NPI | 1609913219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE DAWN BOUCHER Business Clinic Manager 541-779-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR 14-00033080) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-02-02 |