| NPI | 1548529365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S HOFELDT Owner 541-382-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR md150323) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |