| NPI | 1093294571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KAE THOMAS Revenue Cycle Director 503-338-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-13 |