| NPI | 1134433790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY R KAHANER CEO 503-233-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR DO 15080) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |