| NPI | 1710349477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURU SANKAR Center Director 503-305-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-05-05 |