| NPI | 1114253713 |
|---|---|
| Former Legal Business Name | CANBY HEALTHCARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAULINE L RICHARDS Owner 503-266-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2013-02-14 |