| NPI | 1376520163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J. O'DONOVAN Owner/Manager 503-738-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 00038357) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-02-12 |