| NPI | 1033348289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S MAXON Executive Director 541-347-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 23131) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2014-10-03 |