| NPI | 1417333535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HARDY Medical Director 503-407-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OR MD18862) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |