| NPI | 1699761932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J SLOAN CFO 541-842-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 208000000X Pediatrics | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2015-07-07 |