| NPI | 1124159819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROGERS BRADDOCK CEO Medical Director 503-635-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |