NPI | 1033466206 |
---|---|
Doing Business As | UPS GABRIEL PARK (OHA PCPCH) |
Entity Type | Organization |
Authorized Contact | KELLY SMITH Vice President, Erc 503-494-8417 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2012-08-07 |
Last Update Date | 2022-08-03 |