| NPI | 1316446339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FRANK SCHULTZ Owner 541-254-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD126149) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD126149) |
| 207N00000X Dermatology (Licence: OR MD126149) | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |