| NPI | 1104193283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL BRADFORD Finance Director 503-535-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |