| NPI | 1225445166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IN HYONGYU YU Owner 503-297-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR AC01149) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |