| NPI | 1417484460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESSA MARIE BINGLEY Director 503-217-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 111N00000X Chiropractor | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 171100000X Acupuncturist | |
| 175F00000X Naturopath | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2024-07-03 |