NPI | 1174413298 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON K HUGHES Clinical Co Manager 503-297-1078 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 208800000X Urology |
Enumeration Date | 2025-07-09 |
Last Update Date | 2025-07-09 |