| 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 |