| NPI | 1366318107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON TANNLER District Nurse 503-941-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |