| NPI | 1215072228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MICHAEL BAJOREK Medical Director 503-725-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health (Licence: OR 261QS1000X) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-06-24 |