| NPI | 1881125284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBIN D RUMMEL Owner 541-757-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO157483) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200750145NP) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |