| NPI | 1710264189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA HOVENDEN Owner 503-580-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 200641697RN) |
| Enumeration Date | 2011-11-13 |
| Last Update Date | 2011-11-13 |