| NPI | 1750688404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELIZABETH FLEMMER President 503-681-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD18550) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-04-04 |