| NPI | 1043170491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD AZAM GILL Owner 971-351-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |