| NPI | 1730794637 |
|---|---|
| Former Legal Business Name | PRAXIS MEDICAL GROUP INC |
| Doing Business As | LA GRANDE FAMILY MEDICINE URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | JESSICA M REAGAN Revenue Cycle Director 541-966-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-08-30 |