| NPI | 1073023941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE CARTER Clinical Director 503-459-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1875) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-06-16 |