| NPI | 1700750189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L PHILLIPS Director Of Revenue Cycle 541-492-0134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |