| NPI | 1083745731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MARIE KEMP Principal Officer 503-615-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD26365) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-05-27 |