| NPI | 1083025431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI DAMEWOOD Nurse Practitioner 541-643-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150169NP) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |