| NPI | 1255614715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY NHUT-THANH PHAM Owner 503-463-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 3737) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: OR 3737) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |