| NPI | 1386069326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WEBER DOUGHERTY Office Manager 541-260-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200950160NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 000031286N5) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |