| NPI | 1912371063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI LYNN DAMEWOOD Owner/Practitioner 541-643-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-06-17 |