| NPI | 1063779932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE DENNIS Corporate Compliance Officer 503-214-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2023-08-19 |