NPI | 1720305832 |
---|---|
Doing Business As | PDH FAMILY MEDICAL |
Entity Type | Organization |
Authorized Contact | PHYLLIS DESHUN HURSEY Physician 503-269-2409 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR md26240) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2010-04-28 |