| NPI | 1013114172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMA JB DOUGLAS President And Nurse Practitioner 541-683-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OR 81001432RN(N3)) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty (Licence: OR 200841796RN) |
| 261QM1300X Clinic/Center Multi-Specialty (Licence: OR 201508020RN) | |
| 261QP2300X Clinic/Center Primary Care (Licence: OR 080045015NS) | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-03-04 |