| NPI | 1619663697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVEN JONES Chairman Of The Board 503-528-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |