NPI | 1376501460 |
---|---|
Former Legal Business Name | KENYON NYQUIST HEALTHCARE CLINIC |
Entity Type | Organization |
Authorized Contact | SCOTT ERIC SCHIEBER CEO 503-472-4197 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-01 |
Last Update Date | 2013-06-03 |