| NPI | 1457017238 | 
|---|---|
| Doing Business As | DESCHUTES ONSITE CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | JONATHAN LEIZMAN President 216-479-9063  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Enumeration Date | 2021-11-16 | 
| Last Update Date | 2022-10-13 |