| NPI | 1669067369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA TRENNER CEO 541-756-6232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |