NPI | 1306487517 |
---|---|
Entity Type | Organization |
Authorized Contact | BURK AARON THOMAS Chief Operations Officer 503-490-1579 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2019-09-30 |
Last Update Date | 2019-09-30 |