| NPI | 1184000549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DANIEL SPALLETTA Owner 541-295-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 1174571186) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |