| NPI | 1366194813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D SANCHEZ Owner Of Entity 541-787-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-12-05 |