| NPI | 1396117511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HERBISON CEO 503-304-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: OK R0067049) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |