| 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 |