# FULL CIRCLE VENTURES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285922641
- **Authorized official:** MR. ERIC S DAVIS PA (OWNER)
- **Authorized official phone:** (541) 390-2464

## Contact information

- **Practice address:** 62806 BASKIN CT, BEND, OR 97701-9565
- **Practice address phone:** (541) 390-2464
- **Mailing address:** 62806 BASKIN CT, BEND, OR 97701-9565
- **Mailing address phone:** (541) 390-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA00844 | OR | Yes |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 07/19/2011