NPI | 1275969602 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA D CORTAL Owner 503-960-2162 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 1917) |
Enumeration Date | 2013-09-17 |
Last Update Date | 2013-09-17 |