| NPI | 1962858464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY MARIE PINSONNEAULT Clinic Owner/Doctor 541-935-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR DO27753) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-28 |