| NPI | 1427315662 |
|---|---|
| Doing Business As | PARK STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTY CAHILL CEO 541-451-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2018-11-05 |