NPI | 1184052136 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY HARRISON Secretary 541-226-9840 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550153NP) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2023-03-07 |