| NPI | 1518212638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CAMERON POWERS Executive Director And Member 503-255-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 200950143NP) |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2012-07-14 |