| NPI | 1336902394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LORAINE COLE Director Of Healthcare Operations 503-445-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-08-12 |