| NPI | 1043434053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI SPORRER Office Manager 503-656-1484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 2O7Q00000X) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-09-13 |