| NPI | 1205913407 |
|---|---|
| Other Name | PRESCOTT TERRACE |
| Entity Type | Organization |
| Authorized Contact | HEATHER J MCALPINE Credentialing Specialist 503-238-0769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-25 |