| NPI | 1518225242 |
|---|---|
| Doing Business As | WVP MISSION STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEAN G ANDRETTA CFO 503-371-7701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2014-03-18 |