| NPI | 1568549855 |
|---|---|
| Other Name | GLISAN STREET HOUSE |
| Entity Type | Organization |
| Authorized Contact | ENRIQUE SAMA VP, Human Resources 503-963-7791 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-12 |