| NPI | 1821243569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY HAYMAN O'NEILL Owner 503-320-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 1526) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |