| NPI | 1508133299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVA KATHLEEN MCFERON CEO Asst. 541-435-7033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2018-02-26 |