NPI | 1366449662 |
---|---|
Entity Type | Organization |
Authorized Contact | JON KANE VANVALKENBURG Partner 541-734-3430 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD21703) |
Additional Taxonomies | 207Q00000X Family Medicine |
363L00000X Nurse Practitioner | |
207R00000X Internal Medicine | |
Enumeration Date | 2005-06-30 |
Last Update Date | 2014-05-06 |