| NPI | 1528625639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA MICHELLE WILSON CRAIN Dir. Of Clinical Outcomes 503-487-3001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |