| NPI | 1922003052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART A ADAMS Medical Director 541-276-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071538) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2013-06-04 |