| NPI | 1669660213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN JOHNSON O'SULLIVAN Owner 541-389-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OR DO26683) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-06-02 |