| NPI | 1215724059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESSA BINGLEY Owner 503-217-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X Clinic/Center | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |