NPI | 1831378025 |
---|---|
Doing Business As | TWO RIVERS HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DEBRA S BLAKER Owner/Practitioner 541-284-8882 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 90006820N1) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2017-12-10 |