| NPI | 1902981558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K LINDEN Billing 541-687-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071531) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |