| NPI | 1114197894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEE KELLENBARGER Neonatal Nurse Practitioner 503-562-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: OR 200750005NP NNPPP) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |