NPI | 1356725998 |
---|---|
Entity Type | Organization |
Authorized Contact | BLAIN A WEST CFO & COO 503-941-3033 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2023-04-26 |