| NPI | 1023015278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JANE WALLNER Family Nurse Practitioner 503-861-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: OR 200350140NP FNP-PP) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |