Organization
MIDDLE FORK SURGERY CENTER LLC
Active
Organization
MIDDLE FORK SURGERY CENTER LLC
Active
Parent organization
PAIN CONSULTANTS OF OREGON
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN CONSULTANTS OF OREGON
Authorized official
ROBERT GESSELE (ADMINISTRATOR)
(541) 334-0488
Entity
Organization
Contact information
Practice address
360 S GARDEN WAY, SUITE 100, EUGENE, OR 97401-8173
(541) 334-0488
Mailing address
360 S GARDEN WAY, SUITE 100, EUGENE, OR 97401-8173
(541) 334-0488
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
02/27/2008
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