NPI | 1306594445 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICKA YOUNG Revenue Cycle Manager 503-535-3833 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-03-17 |