| NPI | 1336313923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNDEN RICHARDSON Owner 503-231-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO15187) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2016-11-23 |