| NPI | 1689064156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E. LOREDO COO 503-359-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2018-01-10 |