| NPI | 1467484956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVERA M GASKINS Administrator 503-772-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071572) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-11 |