| NPI | 1124352877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN G. ANDRETTA CFO 503-371-7701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2018-04-19 |