| NPI | 1184881393 |
|---|---|
| Other Name | SALLY SUZANNE MARIE MD LLC |
| Entity Type | Organization |
| Authorized Contact | SALLY SUZANNE MARIE Owner/Physician 541-654-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 14482) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2011-11-23 |