| NPI | 1750777025 |
|---|---|
| Former Legal Business Name | RIVERSTONE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEORA ELLAN PETERSON Staff Nurse Care Manager 541-682-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: OR 09000270RN) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |