| NPI | 1306207006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI RUMREY Provider 541-474-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 201601213np-pp) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2024-02-07 |