| NPI | 1417316191 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RON RAY GUILEY President CEO 541-388-7906  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 1537ATI)  | 
| Enumeration Date | 2016-02-23 | 
| Last Update Date | 2016-02-23 |