| NPI | 1427046903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BOOTH Chief Executive Officer 541-955-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: OR 127725) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2021-10-06 |