| NPI | 1588090393 |
|---|---|
| Doing Business As | CMH PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENNETH BOUCHER COO 503-338-5763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |