| NPI | 1811276157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MARTIN Pediatrician 541-386-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR DO27031) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2014-01-17 |