| 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 |