| NPI | 1821274317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI S BOUCHER Office Manager 541-734-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: OR MD17390) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2022-03-10 |