| NPI | 1558896266 |
|---|---|
| Other Name | OTC HCV PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW MENDENHALL President & CEO 503-294-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-03-06 |