NPI | 1275061681 |
---|---|
Doing Business As | PACIFIC NW FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | JANE KATHERINE HOPSON Certified Physician Assistant 503-648-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA01299) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OR PA01299) |
Enumeration Date | 2017-05-30 |
Last Update Date | 2022-07-21 |