| NPI | 1558863902 |
|---|---|
| Doing Business As | CHILDREN AND ADOLESCENTS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERI L SULLIVAN Office Manager 541-779-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |