| NPI | 1437620937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA GEIGLE Owner 503-475-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP2300X Nurse Practitioner Primary Care | |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2019-04-08 |