Vital Links West Llc

NPI 1104011071 - Surgery - 208600000X

NPI Details
NPI 1104011071
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HOLLY KAYE HOLLY
Position REGISTERED AGENT / OWNER
Phone (541) 344-4594
Fax (541) 686-6295
Practice Location
1200 EXECUTIVE PKWY
SUITE 360
EUGENE OR, 97401-2114, US
Phone (541) 344-4594
Fax (541) 686-6295
Business Location
660 14TH AVE
COOS BAY OR, 97420-4414, US
Phone (541) 297-6163
Fax
Toxanomy
Taxonomy Code 208600000X
License State Oregon
License Number MD22731
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According to our database, Vital Links West Llc NPI is 1104011071, taxonomy code is 208600000X and license number is MD22731, license state is located at Oregon. Vital Links West Llc physically located at 1200 Executive Pkwy, Eugene OR, 97401-2114. NPI Number 1033115704 has the healthcare provider type.

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1104011071 NPI number is provided on an as is basis without warranty of any kind. 1104011071 is maintained by the National Plan & Provider Enumeration System. The contents of Vital Links West Llc are for informational purposes only.