| NPI | 1538416102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD WHISNANT Doctor Of Chinese Medicine 503-397-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: OR AC01151) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |