| NPI | 1750435327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B COLLINS Administrator 541-461-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR Letter of Approval) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-06-17 |