| NPI | 1700527421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE MOORE KURZET Physician 541-357-7594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-12-02 |