| NPI | 1306369442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANT K SONPATKI Owner / Provider 503-449-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 11791) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2018-03-31 |