| NPI | 1235622408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE LYNN LEFAVE Co Owner 503-537-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: OR 07-1587) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |