| NPI | 1487484572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DANAHY Owner / Authorized Person 971-777-2687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |