NPI | 1114397528 |
---|---|
Entity Type | Organization |
Authorized Contact | NOAH PERLMAN Owner, Physician 541-488-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 5645) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OR 1985) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2015-09-28 |