| NPI | 1174920789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE A NOYES Owner 541-840-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850143NP) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-26 |