| NPI | 1093862245 |
|---|---|
| Doing Business As | FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TANYA E CARTER Owner 503-244-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO22368) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |