| NPI | 1477344802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELENA RIVERA Nurse Practitioner 541-531-5283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |