| NPI | 1043653777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D BUCHHOLZ President 541-706-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD14593) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |