| NPI | 1487899381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY M. BELCOURT Pharmacy Director 503-988-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2019-03-16 |