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 |