NPI | 1225412620 |
---|---|
Other Name | NUNM |
Entity Type | Organization |
Authorized Contact | REGINA IDA DEHEN Cmo And Dean Of Clinics 503-552-1966 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR ND0879) |
Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: OR 0879) |
332900000X Non-Pharmacy Dispensing Site (Licence: OR 0879) | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2016-09-13 |