| NPI | 1316351299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA PAIGE LAMBERT Owner/Operator 541-379-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 16231) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |