NPI | 1669496204 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN JOSEPH WHITE Lead Pharmacist 503-988-3674 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: OR 100476) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-03-07 |