| NPI | 1467908863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JOHN ATZENBECK Chief Executive Officer 541-200-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2021-06-19 |