| NPI | 1487620472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELL ANN BLAIR HOLMES Business Office Supervisor 503-485-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 07 1529) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-02-25 |