| NPI | 1497203194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CRANE Owner 541-329-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2023-02-01 |