| NPI | 1306894647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA K STULTS Operations Manager 541-773-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-11-13 |