| NPI | 1417929050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TYREE COO 541-229-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-07-22 |