| NPI | 1528219326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROWN Wic Program Supervisor 503-585-4947 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OR 805533) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |