| NPI | 1275701997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND E BRADY President 503-325-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD10611) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |