NPI | 1972328151 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS CAMPBELL Quality Improvement & Data Services 541-766-6396 |
Organization Subpart ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
Enumeration Date | 2024-11-21 |
Last Update Date | 2024-11-21 |