| NPI | 1235674136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BALDWIN Chief Operating Officer 971-301-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR RT-P-10135828) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: OR RT-P-10135828) | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2018-01-26 |