| NPI | 1689128308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MCQUILLAN Family Nurse Practitioner 503-910-7723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 201605270NP-PP) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |