NPI | 1487753273 |
---|---|
Doing Business As | VILLAGE HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | DAWN GANDALF Vice President 541-684-3988 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0481) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 272901) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |