| NPI | 1114299153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY NELENE KELBER Office Manager 503-391-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR NP135211) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-05-02 |