| NPI | 1790777258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G TITUS Managing Partner 503-229-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR 428335) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-10-05 |