| NPI | 1194180570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LOCKER Clinical Director 541-553-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: OR RPH-0014779) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |