NPI | 1174979934 |
---|---|
Doing Business As | NARA NW-DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | SARAH AYERS Credentialing Specialist 503-367-9089 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2016-05-11 |
Last Update Date | 2024-03-29 |