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 |