| NPI | 1063713717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH E TYLER R.N. 503-850-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: OR 200243005RN) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |