| NPI | 1013922996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTIN KARL GOMBART Physician 541-673-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR md08874) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-06-13 |