| NPI | 1629510052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERARD SHERMAN President 541-918-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD24253) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |