| NPI | 1073834164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL SABO Physician 503-655-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR DO08518) |
| Enumeration Date | 2010-06-12 |
| Last Update Date | 2011-02-01 |