| NPI | 1982709226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY G. WILLIAMS Member 541-858-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-03-16 |