| NPI | 1871665901 |
|---|---|
| Former Legal Business Name | TIMBER VALLEY FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | GEORGE MARTIN LARSON Corporation President 541-741-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO 08511) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-04-20 |