| NPI | 1730414897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENE L. HAMILTON President 541-956-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OR DO25529) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2014-09-09 |