| NPI | 1811246259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD MARSHAL VOLLMER Owner 503-908-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 3867) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |