| NPI | 1689247645 |
|---|---|
| Doing Business As | SOUTHERN OREGON WEIGHT HEALTHY |
| Entity Type | Organization |
| Authorized Contact | EE LIN WAN Physician 541-690-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-11-19 |