| NPI | 1386971836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WENDALL MILLER CEO 503-466-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OR MD16819) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |