| NPI | 1457374480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER S KAY Administrator 541-868-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: 200450044NP FNP) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-07-06 |