| NPI | 1821265364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE KODER Pharmacy Director 503-988-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2020-02-26 |