| NPI | 1558607812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE PETERSON Director 503-284-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 2921) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: OR DEM-LD-10144749) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |