NPI | 1164436085 |
---|---|
Doing Business As | REDMOND MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LORELEI MCMILLIAN Owner 541-323-4540 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 174400000X Specialist (Licence: OR Md19294/MD23086) |
207R00000X Internal Medicine | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2022-05-26 |