| NPI | 1477554921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E KNOWER President 541-447-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: OR MD15601) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |