| NPI | 1437520871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAHJI WIJAPI KASTEN Dr. 503-201-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 3011) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |