NPI | 1356880454 |
---|---|
Other Name | DTNA PORTLAND - HEALTH & WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 503-813-2440 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2017-02-22 |
Last Update Date | 2021-06-01 |