| NPI | 1548645542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES S ROSS President 541-957-9489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR DO10012) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |