NPI | 1295044485 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAHRAM HOSSEINION Provider/Owner 503-234-2070 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD26562) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2015-11-10 |