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