| NPI | 1629254271 |
|---|---|
| Doing Business As | CORVALLIS INTEGRAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARCIA ANTOINETTE LIBERATORE Owner 541-753-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR MD24224) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2011-02-25 |