| NPI | 1063230480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL ARONSON Support Services Director 503-278-2514 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |