| NPI | 1821366071 |
|---|---|
| Doing Business As | EVERGREEN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JASON GRAY President 541-677-2494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2013-02-06 |