| NPI | 1740483270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGHA SIRMEVAN DISSANAYAKA Owner 541-726-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD21258) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-05-18 |