| NPI | 1063230480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER REPPETO Executive Director 503-535-3860 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2025-10-08 |