NPI | 1306014253 |
---|---|
Entity Type | Organization |
Authorized Contact | DORIS L FRANSON Office Manager 503-255-1381 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OR DP00094) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2008-02-13 |