| NPI | 1982070025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYA J CARDEN Owner 541-313-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD27397) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |