| NPI | 1487933172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA CAROL ASPENGREN Administrator 503-407-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |