| NPI | 1972739159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY T JOHNSON President 541-884-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OR MD24075) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2011-11-30 |