| NPI | 1760874622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEN JIANG Practitioner 503-381-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR AC161758) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |