| NPI | 1164952495 |
|---|---|
| Doing Business As | ASTORIA INTEGRATIVE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN IACULLO NYGAARD Owner 503-741-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2021-07-06 |