NPI | 1255498473 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J LEONE President 541-962-7407 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 087000017N1 FNP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200050027NP-FNP-PP) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-09-04 |