| NPI | 1558516005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY TODD JOHNSON Md/CEO 541-274-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD24075) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |