| NPI | 1063067312 |
|---|---|
| Other Name | VIRGINIA GARCIA HAZELBROOK |
| Entity Type | Organization |
| Authorized Contact | MARIA E LOREDO COO 503-359-8502 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |