| NPI | 1851520514 |
|---|---|
| Doing Business As | WAVERLY LAKE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D KOLB Administrator 541-918-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2021-12-16 |