| NPI | 1063611465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON FREDERIK ROSE President 541-673-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD15903) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2008-02-01 |