| NPI | 1689179525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE SCHLIMGEN Clinic Manager 503-722-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD167908) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-04-19 |