| NPI | 1861508632 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARY JAMES MCALLISTER President 541-330-9110 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OR DO17061) | 
| Enumeration Date | 2006-08-22 | 
| Last Update Date | 2020-08-22 |