Organization
FULL CIRCLE VENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC S DAVIS PA (OWNER)
(541) 390-2464
Entity
Organization
Contact information
Practice address
62806 BASKIN CT, BEND, OR 97701-9565
(541) 390-2464
Mailing address
62806 BASKIN CT, BEND, OR 97701-9565
(541) 390-2464
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00844
OR
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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