| NPI | 1134932288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN WEBER CEO 541-472-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-02-03 |