| NPI | 1447535075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HAGFORS CEO 541-706-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2012-01-31 |