| NPI | 1619933264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN JACKSON Chief Administrative Officer 503-364-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-04-23 |
| Last Update Date | 2018-02-02 |