| NPI | 1306966536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CONROY Clinic Administrator 503-648-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2018-09-19 |