| NPI | 1508388497 |
|---|---|
| Doing Business As | HEPATITIS C PROGRAM |
| Entity Type | Organization |
| Authorized Contact | WENDY LEAR Business Services Manager 503-988-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2019-03-13 |