NPI | 1235141086 |
---|---|
Doing Business As | EVERGREEN FAMILY CARE |
Entity Type | Organization |
Authorized Contact | PATRICK CHARLES MCDONALD President 503-982-2212 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD13817) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2010-09-22 |