| NPI | 1497970891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA K GREENE Clinic Director 541-463-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: OR 080046349RN) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2016-12-14 |