| NPI | 1982771812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OGLE Director 888-837-8567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 50F0968535) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health |
| 174H00000X Health Educator | |
| 175F00000X Naturopath | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-09-12 |