| NPI | 1427258490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BLOMBERG Resident Physician 503-334-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR MD27617) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2014-12-10 |