| NPI | 1720403181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL ETHERIDGE HIGDON Director Of Pharmacy 503-352-8553 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2023-08-19 |