| NPI | 1528511474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUCKER S MEAGER CEO 541-971-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |