| NPI | 1750105045 | 
|---|---|
| Other Name | OREGON STATE CORRECTIONAL INSTITUTION | 
| Entity Type | Organization | 
| Authorized Contact | ROB CORY NUTT Chief Pharmacy Officer 503-986-6967 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health | 
| Enumeration Date | 2024-11-13 | 
| Last Update Date | 2024-11-13 |