| NPI | 1891722161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA D HODGES Office Manager 541-440-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD20198) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-01-05 |