| NPI | 1396887113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY P MADDEN Owner 541-575-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550119NPPP) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-10-08 |