| NPI | 1265542401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE STEPHENS Office Manager 541-474-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-01-28 |