| NPI | 1326456096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA FELICIANO Doctor 541-543-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 5077) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |