| NPI | 1730734161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OCKER Executive Director 541-735-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-04-18 |