| NPI | 1942548433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN WATTENBURG Owner 541-548-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OR 1546513-1) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |