| NPI | 1114229671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY RUIZ Department Hr Manager 503-494-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR 153231) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |