| NPI | 1285988444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MILLER-DAVIS President 503-723-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD26751) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2013-09-25 |