| NPI | 1639316193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN TRAPP CEO 541-876-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2023-02-23 |