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Organization
J C PITTS ENTERPRISES INC
Active
Organization
J C PITTS ENTERPRISES INC
Active
Other names
Ontario Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MONG DO (MEDICAL DIRECTOR/OWNER)
(208) 377-3937
Entity
Organization
Contact information
Practice address
251 SW 19TH STREET, ONTARIO, OR 97914-1972
(541) 889-3198
(208) 377-9455
Mailing address
251 SW 19TH STREET, ONTARIO, OR 97914-1972
(541) 889-3198
(208) 377-9455
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071506ASC
OR
Other
Enumeration date
11/17/2006
Last updated
03/04/2025
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