| NPI | 1215347109 |
|---|---|
| Other Name | LEGACY MEDICAL GROUP BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | LINDA HOFF CFO 503-415-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2016-10-19 |