| NPI | 1801663414 |
|---|---|
| Doing Business As | ESTACADA DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE ORTH Owner 503-852-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |