NPI | 1497186647 |
---|---|
Doing Business As | ULRF FAMILY MEDICINE - CARDINAL STATION |
Entity Type | Organization |
Authorized Contact | TONI GANZEL VP For Academic Medical Affairs 503-852-5555 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
207QG0300X Family Medicine, Geriatric Medicine | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-12-12 |
Last Update Date | 2020-08-25 |