| NPI | 1316195365 |
|---|---|
| Doing Business As | BEACH MEDICAL & SKIN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROL OLIVER President 541-412-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650010NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 9514) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-11-14 |