| NPI | 1043263619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WALKUP Administrator 541-816-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-02-08 |