NPI | 1538446315 |
---|---|
Doing Business As | SOUTHERN OREGON MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | ERIC REED Owner 541-200-2242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2011-11-08 |
Last Update Date | 2021-08-26 |