| NPI | 1306284336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE RUTH BALDWIN-SAYRE Owner 503-715-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 1372) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |