| NPI | 1679830376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L MARTIN Owner 503-616-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD27885) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |