| NPI | 1477005619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PATRON Executive Director 503-535-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2019-11-08 |