| NPI | 1003243296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE KABOT-STUROS Owner 541-864-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150137NP) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |