| NPI | 1184784332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L MILLER Administrator 541-536-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200250124NP) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-10-24 |