| NPI | 1164123196 |
|---|---|
| Doing Business As | HOST |
| Entity Type | Organization |
| Authorized Contact | PAUL LOGAN Chief Executive Officer 503-588-5831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |