| NPI | 1437403623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH MERRITT Owner, Nurse Practitioner 971-258-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 200850079NP) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2013-02-10 |