| NPI | 1033382015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JEAN SCHLEEF Registered Agent 503-635-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO25447) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |