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 |