| NPI | 1538146931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BAYLEY Controller 503-315-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071522) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2019-02-05 |