| NPI | 1154741916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA E BARTEL Practice Administrator 503-981-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2023-10-03 |