NPI | 1689797169 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN A WALDORF President, Owner, Physician 503-646-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2007-04-09 |
Last Update Date | 2022-07-21 |