| NPI | 1124110325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELLEN E KIMBROUGH Chief Dentist 541-440-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: OR 7677) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |