| NPI | 1720012339 |
|---|---|
| Former Legal Business Name | SOUTHERN OREGON HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | FRANK RICHARD NOODLEMAN Owner 541-773-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 06-00024661) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-11-16 |