| NPI | 1710114343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE DAVIS WILKINS Provider/Owner 541-646-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD27812) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-09-14 |