| NPI | 1568279792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SCHAEFER CFO 503-201-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |