NPI | 1598256281 |
---|---|
Entity Type | Organization |
Authorized Contact | LAVINIA GOTO Operations Manager 503-304-3408 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
133V00000X Dietitian, Registered | |
163WD0400X Registered Nurse, Diabetes Educator | |
251B00000X Case Management | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2019-07-12 |