| NPI | 1154298677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE ANNE FROST BARON Executive Clinical Director 541-224-7951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-11-14 |