| NPI | 1629004858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORELEI MCMILLIAN President 541-548-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 091006933RN) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |