| NPI | 1982644761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H COBB Manager 541-431-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071578) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-06-23 |