| NPI | 1225698889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE LADENE REED Owner/Nurse Practitioner 503-780-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |