| NPI | 1609033976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE BETH BERMAN President 541-754-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 2330) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |