| NPI | 1508374489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANE WADSWORTH Office Manager 503-579-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA G71726) |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2018-10-08 |