| NPI | 1629152327 |
|---|---|
| Doing Business As | AMANI CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA K GALOVICH Executive Director 503-366-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-05-20 |