| NPI | 1023491008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PHAM Physician/Owner 503-477-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OR DO23388) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2016-10-18 |