| NPI | 1558134338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MILLER Owner 503-479-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2025-01-15 |