Oregon Endoscopy Center, LLC

NPI #1366449910 in Springfield, Oregon

Provider Information

NPI Number
1366449910
Entity Type
Organization
Organization Name
Oregon Endoscopy Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 28, 2005
Last Updated
Jul 6, 2015

Practice Location

Address
3355 RIVERBEND DR
Address 2
SUITE 510
State
Oregon
ZIP Code
97477-8800
Phone
(541) 868-9555

Authorized Official

Name
DR. JONATHAN GONENNE, MD
Title
MEDICAL DIRECTOR/PHYSICIAN PARTNER
Phone
(541) 868-9555

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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