| NPI | 1275280729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA YOUNG Revenue Cycle Manager 503-535-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-10 |