| NPI | 1407442338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MCCLANE DUNCAN Owner/Member 541-210-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QC1500X Clinic/Center Community Health | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |