| NPI | 1154456002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE ANN HAND President Secretary 541-431-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 200250077NP ANP PP) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |