| NPI | 1043575533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON SCARBOROUGH Owner 541-687-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD22521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD22521) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |