| NPI | 1194126003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TIMOTHY STEENBERGEN Dr/Co Owner 503-475-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ID W141209) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2019-12-06 |