| NPI | 1134597602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARMEN VALENA GELLER Business Owner 503-683-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR AC174049) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |