| NPI | 1114469103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DOUGLAS WYMORE Registered Dietitian 541-232-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |