| NPI | 1447503107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL NIGHTENGALE Owner 503-669-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR 592) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2024-07-02 |