| NPI | 1053483057 |
|---|---|
| Doing Business As | MILLETTE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARY K TAYLOR Office Manager 541-471-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 95000636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550153) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 200550156) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-05-28 |