| NPI | 1497229165 |
|---|---|
| Doing Business As | PORTLAND DOCTOR, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTABETH BOYD Physician/Owner 541-230-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |