| NPI | 1447677059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A FLAIZ Owner 541-567-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 12591) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |