| NPI | 1053630491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M. SCHROEDER Executive Director 503-416-5764 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2011-01-27 |