NPI | 1619106945 |
---|---|
Doing Business As | NARA NW-TOTEM LODGE |
Entity Type | Organization |
Authorized Contact | SARAH AYERS Credentialing Specialist 503-367-9089 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2024-03-29 |