| NPI | 1427475698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHO PURCELL Owner 503-572-9234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 14623) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |