| NPI | 1639104136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE J NIELSEN Office Manager 541-779-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR 07-00021219) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |