| NPI | 1437601234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DAVIS Office Manager 541-200-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR 154375) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2025-05-21 |