NPI | 1730596511 |
---|---|
Doing Business As | EVOLUTION HEALTHCARE |
Entity Type | Organization |
Authorized Contact | BRAD FARRA Owner 503-975-6566 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 3851) |
Enumeration Date | 2014-07-14 |
Last Update Date | 2014-07-14 |