| NPI | 1407997125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRIAN ROSENFIELD Medical Director 503-771-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 676749.00) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-04-05 |