| NPI | 1619108669 | 
|---|---|
| Former Legal Business Name | ADVANCED ENDOSCOPY CENTER, PLLC | 
| Entity Type | Organization | 
| Authorized Contact | TAMMY T. MCCULLER Revenue Cycle 503-714-3035  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy | 
| Enumeration Date | 2009-08-06 | 
| Last Update Date | 2025-10-16 |