Middle Fork Surgery Center LLC

NPI #1811920366 in Eugene, Oregon

Provider Information

NPI Number: 1811920366
Entity Type: Organization
Organization Name: Middle Fork Surgery Center LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PAIN CONSULTANTS OF OREGON
Primary Specialty: Clinic/Center - Pain
Enumeration Date: Jul 8, 2006
Last Updated: Feb 27, 2008

Practice Location

Address: 360 S GARDEN WAY
Address 2: SUITE 100
City: Eugene
State: Oregon
ZIP Code: 97401-8173
Phone: (541) 334-0488

Authorized Official

Name: ROBERT GESSELE
Title: ADMINISTRATOR
Phone: (541) 334-0488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Pain — Pain	261QP3300X	Primary

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