| NPI | 1841539004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE ELIZABETH LUTZ President 541-521-1986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 081001432N3 ANP PP) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |