| NPI | 1265833040 |
|---|---|
| Other Name | OLD TOWN CLINIC AD |
| Entity Type | Organization |
| Authorized Contact | ANDREW MENDENHALL President & CEO 503-294-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2023-03-06 |