| NPI | 1063567832 |
|---|---|
| Doing Business As | VIDA INTEGRATIVE MEDICINE & MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TERI L LITKE-FETSCH Administrator 503-399-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-04-11 |