| NPI | 1427594977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MAXON CEO 541-347-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: OR 26602-00) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |