| NPI | 1174847719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HAGFORS CEO 541-706-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207W00000X Ophthalmology | |
| 152W00000X Optometrist | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2012-01-31 |