NPI | 1528255866 |
---|---|
Doing Business As | DBA FAMILY TREE MEDICAL CLINIC |
Doing Business As | FAMILY TREE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | SARAH LYNN AGSTEN Owner 541-673-5225 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-10-01 |
Last Update Date | 2020-07-22 |