| NPI | 1114079530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN L LEMONS Administrative Officer 503-224-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |