Organization
NORTHWEST CENTER FOR PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M DREYER M.D. (MEDICAL DIRECTOR)
(541) 683-0878
Entity
Organization
Contact information
Practice address
743 COUNTRY CLUB RD, EUGENE, OR 97401-6019
(541) 683-0878
(541) 683-5206
Mailing address
743 COUNTRY CLUB RD, EUGENE, OR 97401-6019
(541) 683-0878
(541) 683-5206
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071570
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071570
STATE LICENSE
OR
Enumeration date
03/28/2006
Last updated
06/23/2008
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