| NPI | 1689800773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HAGFORS CEO 541-706-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 152W00000X Optometrist |
| 174400000X Specialist | |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2012-02-10 |