| NPI | 1215447008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE JEWELL Office Manager 541-858-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR 22816) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-10-18 |