| NPI | 1962212159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY VARGAS Pediatrician/Owner 541-212-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-03-26 |