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 | 2025-01-23 |