| NPI | 1477655264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON KAY LYNCH MILLER Presidentphysician 541-388-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 17286/20470) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: OR 17286/20470) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-11-21 |