| NPI | 1336313162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DENIS MCHALE Dr/Owner 503-659-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 27 2916) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |