| NPI | 1548373137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JENSEN Interim CFO 503-415-5145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-12-01 |