| NPI | 1760869739 |
|---|---|
| Doing Business As | TUALATIN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIELLE BLACKWELL Fnp/Owner 503-656-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 1500005833) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |