| NPI | 1548399322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA FORD President 503-256-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 088000392N3) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |