| NPI | 1164755534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRINA MARIE THOMAS Manager 541-359-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR 09615) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-10-19 |