| NPI | 1083774541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL BORISKIN Owner 541-726-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 085073033N) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-08-27 |