| NPI | 1407396658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIA LISSETT ROBLES HERNANDEZ Owner 541-791-6537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 1657) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-08-03 |