| NPI | 1740394741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SCOTT GIBSON President 503-474-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 07-1533) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-08-20 |