| NPI | 1003024423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MANKEY Clinic Manager 503-669-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO18839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO15150) |
| 207Q00000X Family Medicine (Licence: OR DO21884) | |
| 207R00000X Internal Medicine (Licence: OR MD17149) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-10-10 |