NPI | 1003253048 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNMARIE DENNIS Corporate Compliance Officer 503-214-1652 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2023-08-19 |