| NPI | 1588362016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BARTON HEMSLEY Owner 541-681-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-05-28 |