| NPI | 1700527421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE M KURZET Executive Director 541-357-7594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 174400000X Specialist | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-11-17 |