| NPI | 1013264456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HUNTSMAN Owner 541-291-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD17360) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2013-04-16 |