| NPI | 1689739310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CLIFFORD GUENTHER Manager 541-276-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 11027630) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2009-11-23 |