| NPI | 1821268822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI L LAIRD Owner 503-496-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD21936) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2009-05-11 |