| NPI | 1265895775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ARCHIE Owner 541-482-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M10114) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ID M10114) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |