| NPI | 1083012108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA MARGARET KERENSKY Physician 503-715-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: OR 16947) |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2014-12-06 |