| NPI | 1154510998 |
|---|---|
| Doing Business As | NW FAMILY MEDIINE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ROY PETERS Owner 503-873-6987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: OR MD17287) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: OR MD17287) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |