| NPI | 1083810782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON L. TRAMMELL Clinic Administrator 503-252-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: OR 07 1418) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |