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