| NPI | 1831364017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE CHASER Owner 503-235-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 27-2031) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |