| NPI | 1659499531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA E VASQUEZ Senior Administrative Specialist 503-846-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |