| NPI | 1669638417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BOOTH CEO 541-471-3455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: OR 127725) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2021-10-06 |