NPI | 1316471550 |
---|---|
Entity Type | Organization |
Authorized Contact | JANAE OLSON Executive Director 503-550-4433 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: MN cc01030) |
Additional Taxonomies | 251S00000X (Licence: MN cc00245) |
Enumeration Date | 2017-04-14 |
Last Update Date | 2017-04-14 |