| NPI | 1124213038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KATHLEEN DOUGHERTY CEO President 503-255-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD17570) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-10-04 |