| NPI | 1104011071 |
|---|---|
| Doing Business As | OREGON OPTIMAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | HOLLY KAYE STAMBAUGH Registered Agent / Owner 541-297-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD22731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650163NP) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |