| NPI | 1679781686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANEVA JUNE DOWTY Physician Assistant 541-553-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AK 758) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-02-03 |