| NPI | 1225813363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ABRAHAM Mbr 541-725-2634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |