| NPI | 1861044281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTELLE BALDWIN Medical Director 541-799-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 175F00000X Naturopath |
| 208D00000X General Practice | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |