| NPI | 1538146931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORISSA ADDABBO CEO 503-566-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071522) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2025-06-03 |