| NPI | 1417260266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT BRUNO CEO 541-234-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2022-04-28 |