| 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 |