| NPI | 1578565347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J HERBISON Acting Chief Executive Officer 503-304-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2014-10-08 |