| NPI | 1437601234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA RENNICK Office Manager 541-200-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR 154375) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2017-02-09 |