| NPI | 1710432919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SIEGNER Director 541-573-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-11-29 |