| NPI | 1528093721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MARNELL Director 541-440-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 085075393N6) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |