| NPI | 1447677620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LYNN BROWN President 541-928-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD158439) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |