| NPI | 1275098568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE LEWIS Practice Manager 503-421-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care | |
| 2279C0205X Respiratory Therapist, Registered, Critical Care | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2024-08-21 |