| 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 |