| NPI | 1649407362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH SAINT-LOUIS Member 541-285-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD29367) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2009-06-20 |