| NPI | 1508686502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ESTELLE HILL Practice Administrator 541-858-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-11-12 |