| NPI | 1871003681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LYNNETTE JONES Medical Billing Specialist/Cpc 541-883-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X (Licence: OR C3681) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2023-09-07 |