| NPI | 1598811861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MACWILLIAMS President 541-617-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 200350134NP-PMHNP-PP) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-08-21 |