| NPI | 1972262129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA WAGNER Credentialing Specialist 541-265-0445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse Maternal Newborn |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2025-08-08 |