| NPI | 1982008975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT T. QUAVE Owner / Physician 541-227-8697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR MD157375) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |