NPI | 1174947196 |
---|---|
Doing Business As | GRESHAM FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | LAUREN ANDRADA Office Manager 503-656-9030 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-02-11 |
Last Update Date | 2019-08-01 |