| NPI | 1447600796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN R PATRIZIO President & Medical Director 541-705-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OR MD24391) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA MD60191672) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |