NPI | 1124351002 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN HOSKINS President 541-218-7369 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OR 200650155NP) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2014-09-09 |