| NPI | 1558820076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA MICHELLE WILSON CRAIN Director Of Clinical Outcomes 503-656-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |