| NPI | 1861492530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN DEGER Office Manager 541-472-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 0504365) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2008-01-03 |