| NPI | 1114190121 |
|---|---|
| Doing Business As | FAMILY PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | VICKI WAGNER CEO 541-282-8817 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-06-03 |