| NPI | 1407030760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE ELAINE JOHNSON Accounts Receivable Bookkeeper 503-640-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD10756) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2010-02-12 |