| NPI | 1235485210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HALL Director Of Patient Services 541-344-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: OR MD) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2018-10-10 |