| NPI | 1669787453 |
|---|---|
| Doing Business As | VARIETY CARE PORTLAND |
| Entity Type | Organization |
| Authorized Contact | TIM REDDOUT CFO 405-632-6688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2020-02-26 |