| NPI | 1366492548 |
|---|---|
| Doing Business As | WELLSPRING FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JON ERMSHAR President/Provider 541-474-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-11-26 |