| NPI | 1124057542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L DANIELS Billing Manager 541-684-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-10-22 |