| NPI | 1154514446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS H CORNWALL Physician And Owner 503-233-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR DO23052) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2023-12-07 |