| NPI | 1376076414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MCRAE President 541-323-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 201601498NP-PP) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |