| NPI | 1164418745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S TRIPLETT Administrator 541-575-0429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200350097NPFNPPP) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2023-03-07 |