NPI | 1740654086 |
---|---|
Doing Business As | DESCHUTES FAMILY CARE |
Entity Type | Organization |
Authorized Contact | MARK EDWARD GONSKY Owner 541-323-3960 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR DO 155003) |
Enumeration Date | 2015-11-24 |
Last Update Date | 2024-01-10 |