| NPI | 1811539448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FENDER Executive Director 503-266-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |