| NPI | 1780835892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L. CROCKER President 541-726-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200450098NP) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2009-02-11 |