NPI | 1376995175 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS D GRAY Administrator 503-434-8285 |
Organization Subpart ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OR 200040842RN) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2022-09-12 |