| NPI | 1013289529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA HAMILTON Owner 503-974-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 1670) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |