| NPI | 1891661781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L PHILLIPS Director Or Revenue Cycle 541-492-0134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |