| NPI | 1154621613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A KING Owner/Provider 541-474-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 000037306N1) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-12-14 |