| NPI | 1750360400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MCKOWN President 503-486-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 080046255N3-ANP-PP) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-08-22 |