| NPI | 1376242966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN DRAPIZA Owner 503-908-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-11-01 |