| NPI | 1346762861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH COX Office Manager 541-658-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD27022) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-10-31 |