| NPI | 1104918275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI S FRESHMAN HOUSE President,Nurse Practitioner 503-525-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OR 363LFOOOOX) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |