| NPI | 1447644190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIGNE PORTER CEO 541-851-8110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2020-08-06 |