NPI | 1790188043 |
---|---|
Entity Type | Organization |
Authorized Contact | HAL A MITCHELL Medical Director 503-437-3594 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OR 201400303NP-PP) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2014-10-01 |