| NPI | 1083206155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTAL LOZANO Site Director 503-850-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-06-16 |