| NPI | 1346680097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA STAUFF LIEBERMAN Owner 541-753-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 088000249N5-PP) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |