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 |