| NPI | 1811628787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMA AZARBEHI Owner/Physician 541-324-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |