| NPI | 1164736393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH O'DONNELL Owner/President 541-363-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |