| 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 |