| NPI | 1053422139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY STATEN Director 541-523-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Additional Taxonomies | 251B00000X Case Management |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-07-21 |