| NPI | 1255160420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A HOLMES Nurse Practitioner 503-447-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |