| NPI | 1679924112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI JEAN CHRISTMAN COO 541-426-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2017-10-13 |