| NPI | 1265663082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOU FOLLETT Nurse Practitioner 541-488-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 20022001NP) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |