| NPI | 1639159916 | 
|---|---|
| Doing Business As | GI ENDOSCOPY CENTER | 
| Entity Type | Organization | 
| Authorized Contact | DEBORAH D DIXON Assistant Administrator 541-957-7734  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: OR 071432)  | 
| Enumeration Date | 2006-01-20 | 
| Last Update Date | 2020-08-22 |