| NPI | 1558792309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZY JEFFREYS Executive Director 503-946-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: OR MD28650) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2018-06-16 |