| NPI | 1477363125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ELIZABETH ANDERSON Registered Dietitian Nutritionist 541-915-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |