| NPI | 1255393419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON LEE ENNS President/Authorized Group Represen 541-488-0679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2015-07-18 |