| NPI | 1225150311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A LOEWER Owner 503-293-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 000039204NI) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP30007349) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-11-08 |