| NPI | 1588980502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRINA MARIE THOMAS Office Manager 541-359-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD11905) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |