| NPI | 1962621888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGGEN M BROGOITTI Office Manager 541-962-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-06-05 |