| NPI | 1487347589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA YOUNG Revenue Cycle Manager 503-535-3892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |