| NPI | 1184217366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA ELAINE BATCHA CFO 541-386-6380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-18 |