| NPI | 1912234048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J BROEKER Office Manager 541-492-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD26760) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2017-05-03 |