| NPI | 1609328301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA SEUFERT Physician & Clinic Serv Executive 503-815-2414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: OR 141177) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2020-09-28 |