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 |