| NPI | 1922734136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN KING Owner/Provider 541-500-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-01-12 |