| NPI | 1275736126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES HERRIN President 541-923-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 71 3734) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |