NPI | 1558523340 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK MOTEN Interim Business Services Director 503-988-2966 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2008-07-02 |
Last Update Date | 2024-05-18 |