NPI | 1265674022 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY DENISON Owner/Member 503-647-7522 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Additional Taxonomies | 163W00000X Registered Nurse |
Enumeration Date | 2009-03-25 |
Last Update Date | 2009-03-25 |