| NPI | 1053304394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE E GRANDI Pres 541-426-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: OR 383864) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2015-06-29 |