| NPI | 1134369978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA IDA DEHEN Cmo And Dean Of Clinics 503-552-1551 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 0879) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2016-02-05 |