| NPI | 1487908927 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTIN SEATE Office Mgr 541-779-2918 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD07147) | 
| Enumeration Date | 2012-11-06 | 
| Last Update Date | 2012-11-06 |