| NPI | 1497051320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET HETHERINGTON Excecutive Manager 541-622-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 12-35846) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2013-12-09 |