| NPI | 1023451044 |
|---|---|
| Doing Business As | VACCINE DEPOT |
| Entity Type | Organization |
| Authorized Contact | DERRICK MOTEN Interim Business Services Director 503-988-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-05-18 |