| NPI | 1740465491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ALEXANDER HALCROW President 541-280-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 3019) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2013-08-07 |