| NPI | 1528015039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LYNN KOLLER Managing Partner 541-330-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |