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 |