| NPI | 1225857899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI KETRENOS STEINBACHER Director 541-240-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |