| NPI | 1669931499 |
|---|---|
| Doing Business As | VODA INTEGRATIVE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHELSEA DESELMS Nurse Practitioner 503-476-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2020-04-30 |