| NPI | 1093218265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR ELIZABETH LEGARE Owner 503-314-9186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR AC185850) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |