| NPI | 1992922595 |
|---|---|
| Doing Business As | CREEKSIDE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN LANIER NELSON LLC Member 541-282-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-07-11 |