| NPI | 1134740152 |
|---|---|
| Doing Business As | SOUTH COAST HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | SARA E DICKERSON Family Nurse Practitioner 541-425-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-10-27 |