| NPI | 1457592271 |
|---|---|
| Doing Business As | GUADALUPE CLINIC |
| Entity Type | Organization |
| Authorized Contact | VICKIE LATTIMER Clinic Administrator 503-364-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |