| NPI | 1043516289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHAELA PEPEL Owner 503-232-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 393160-96) |
| Enumeration Date | 2011-02-06 |
| Last Update Date | 2011-02-06 |