| NPI | 1033489224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIN WEST CFO & COO 503-941-3033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2024-09-16 |