| NPI | 1225217995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M PALM Physician Owner 503-393-0540 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR D025302) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR D025292) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-11-01 |