| NPI | 1902986011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BAILEY Owner 541-482-9492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD20457) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |