| NPI | 1003210600 |
|---|---|
| Doing Business As | CANYONVILLE HEALTH AND URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | KRISTIE DEBACA Office Manager 541-391-4053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD26035) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2022-06-07 |