| NPI | 1114301553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY HEMSLEY Owner/CEO 503-791-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD19799) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |