| NPI | 1093332124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LEONARD WELLS Family Physician 541-621-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2021-09-15 |