| NPI | 1336440502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH COLLINS Director Of Managed Care 541-553-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: OR 26) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2022-01-31 |