| NPI | 1538594999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUALINE MARIE TERRILL COOKE Owner/Provider 503-474-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 200350072NP) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |