| NPI | 1427111327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE ROHR Business Manager 503-364-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MC 11103) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-05-27 |