| NPI | 1770713836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A BURRESS President 503-665-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OR MD07309) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2011-02-07 |