NPI | 1164947701 |
---|---|
Doing Business As | BRAVE CARE |
Entity Type | Organization |
Authorized Contact | COREY ADAIR FISH Chief Medical Officer 503-963-7963 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2017-08-04 |
Last Update Date | 2023-05-30 |