| NPI | 1730121401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOE ANN WENDOLOWSKI Nurse Administrator 503-561-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071573) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2014-05-13 |