| NPI | 1902248776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY G MCKAY Owner 541-362-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA151672) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |