| NPI | 1083915508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELIZABETH SHAW Staff Adult Nurse Practitioner 503-266-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 085074804) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |