| NPI | 1316249394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURU SANKAR Center Director 503-744-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2021-01-04 |