| NPI | 1255693313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORESTES GUTIERREZ Family Physician 541-232-5627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR DO152080) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2014-12-10 |