| NPI | 1053779488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN HRYCIW Nurse Practitioner 971-344-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200150080) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2017-02-13 |