| NPI | 1457644155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MAHONEY Owner 541-474-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200250078NP) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |