| NPI | 1700073350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA M KASSAY President 503-675-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OR 21729) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2020-01-07 |