| 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 |