| NPI | 1730435884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM DIEDRICH Revenue Cycle Manager 541-344-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2022-12-14 |