| NPI | 1417326562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT HIGUERA CEO 541-955-6053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: OR 127725) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |