| NPI | 1760418032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI SIEDLECKI CEO 541-472-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-01-13 |