| NPI | 1699207324 |
|---|---|
| Other Name | MELINDA A. SANFILIPPO |
| Entity Type | Organization |
| Authorized Contact | MELINDA ANN SANFILIPPO CEO & Provider 503-433-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OR 201708826NP) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |