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 |