| NPI | 1639349533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BENNETT Administrative Director 503-655-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2016-02-16 |