Organization
VITAL LINKS WEST LLC
Active
Other names
OREGON OPTIMAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY KAYE STAMBAUGH (REGISTERED AGENT / OWNER)
(541) 297-6163
Entity
Organization
Contact information
Practice address
1200 EXECUTIVE PKWY, SUITE 360, EUGENE, OR 97401-2114
(541) 344-4594
(541) 686-6295
Mailing address
660 14TH AVE, COOS BAY, OR 97420-4414
(541) 297-6163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD22731
OR
363LF0000X
Family Nurse Practitioner
—
OR
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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