| NPI | 1245873819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN HUTCHINGS Family Nurse Practitioner 541-941-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |