| NPI | 1689812430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANNE DEW Owner 503-257-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OR MD21140) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |