| NPI | 1578660031 |
|---|---|
| Doing Business As | MCCLAINE STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | SARAI VASQUEZ Office Manager 503-873-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |