| NPI | 1316803067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMIAH FLOYD Owner/Provider 541-414-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-26 |
| Last Update Date | 2025-12-26 |