| NPI | 1225865876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE MANES COO 541-536-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-10-18 |