| NPI | 1487058764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EBENSTEINER President 503-593-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OR 5583) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2015-03-12 |