| NPI | 1780959007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON H WORKS Administrative Director 541-991-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |