NPI | 1679508212 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTY HEITSCH Clinic Director 503-257-3327 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: OR MD11610) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2008-01-22 |