| NPI | 1689919573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE KAY GUNDLACH Comptroller 541-622-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: OR 067493-94) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |