| NPI | 1689868606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PIRRUCCELLO NEWHALL CEO/Physician 503-222-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR MD14100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 95006550) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2007-09-03 |