Organization · Type 2 NPI
Full Circle Ventures, LLC
Surgical Physician Assistant · Bend, OR
NPI number
1285922641
Active
Practice location
62806 Baskin Ct
Bend, OR 97701-9565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA00844 (OR) |
Surgical Physician Assistant: Definition to come...
About NPI 1285922641
Full Circle Ventures, LLC's National Provider Identifier is 1285922641, issued on Jul 19, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bend, OR. The record was last updated on Jul 19, 2011.