NPI | 1659661346 |
---|---|
Other Name | OLD TOWN CLINIC |
Entity Type | Organization |
Authorized Contact | ANDREW MENDENHALL President & CEO 503-294-1681 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2023-05-24 |