| NPI | 1922316561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA M ADKINS Business Manager 541-317-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD25253) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD27362) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD22475) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2018-06-16 |