| NPI | 1356484380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE LEE RUDDER Podiatry Tech Nursing Assistant 541-553-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |