| NPI | 1013546985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OCKER Executive Director 541-735-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-04-25 |