| NPI | 1588113278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C BIRD Owner/Nurse Practitioner 503-586-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 099006422N1) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OR 099006422RN) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2017-01-26 |