| NPI | 1306019815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI J WARREN Clinic Owner 503-226-6678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR 082011212N3) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OR 082011212N3) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |