| NPI | 1932461688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY SHANNON Nurse Practitioner 541-984-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 080045016N5) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2013-02-01 |