| NPI | 1578741427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN STEFANELLI Practice Manager 503-738-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OR MD19990) |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2008-02-02 |