| NPI | 1346526548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M FORD Owner/Provider 541-601-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD24844) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2016-06-29 |