| NPI | 1699090043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET KADLECIK Otr 541-306-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: OR 419788) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |