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