NPI | 1164130050 |
---|---|
Doing Business As | MC MOBILE PC |
Entity Type | Organization |
Authorized Contact | DERRICK MOTEN Interim Business Services Director 503-988-2966 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-11-09 |
Last Update Date | 2024-05-18 |