| NPI | 1669713723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TANEOUS Registered Nurse 503-928-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 200241060) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |