| NPI | 1174868020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMY W LAWRASON-KOBOBEL President 541-706-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR DO157442) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2013-12-04 |