| NPI | 1346783784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA HOPKINS Owner 503-805-7131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 1983) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |