| NPI | 1790015485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI SUTO LUCE Member/President/Pediatrician 503-713-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-01-03 |
| Last Update Date | 2010-01-03 |