| NPI | 1710992680 |
|---|---|
| Doing Business As | AESTHETIC BREAST AND COSMETIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD V DEMARS Administrator 503-253-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071438) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-06-13 |