| NPI | 1730695032 |
|---|---|
| Doing Business As | HALE MEN'S CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTIAN MARTIN FERRY Owner 541-228-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR NP201401588) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |