| NPI | 1962940668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYLE Fnp/Owner 541-469-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 200350054np) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |