| NPI | 1801526454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE PAUL Nurse Practitioner 971-225-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-09-24 |