| NPI | 1881810745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WINSLOW Manager 541-687-8581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 791258-87) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-01-16 |