| NPI | 1356407662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN D HAAS Chief Admin And Finance Officer 541-789-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |