| NPI | 1457604654 |
|---|---|
| Other Name | BEAVERTON FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KEITH HAINES Manager 503-213-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |