| NPI | 1811978356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WILLIAMS CEO 503-558-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 07-1548) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: OR 07-1548) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-02-22 |