| NPI | 1629896022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LANG SMITH Psychiatric Physician Associate 541-678-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-14 |