| NPI | 1083686554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN MUNOZ Business Office Supervisor 503-595-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD11101) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD06704) |
| 363A00000X Physician Assistant (Licence: OR P83603) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-09-20 |