| NPI | 1225225113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM THEEN President 541-245-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD16267) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |