| NPI | 1467133280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI MCBRIDE Director Of Operations 503-840-7564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |