| NPI | 1720282619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L TURCOT Physician 503-561-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD17882) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-07-16 |