| NPI | 1235688805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM TYREE COO 541-229-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: OR 38-3896) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD12182) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-05-01 |