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 |