| NPI | 1386919132 |
|---|---|
| Doing Business As | LEGACY MOUNT HOOD PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | LINDA HOFF Senior VP And CFO 503-415-5730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2015-04-02 |