| NPI | 1053084384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PRESS POWELL Physician/President 541-488-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-10-19 |