| NPI | 1952183204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DESMOND Medical Director 541-390-7593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-01-17 |