| NPI | 1083081905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAE WINDEN Pharmacist 503-293-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |