NPI | 1710256839 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN DEA BIDLEMAN Bussiness Manager 541-884-0639 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MDO8423) |
Enumeration Date | 2011-12-19 |
Last Update Date | 2011-12-19 |