| NPI | 1841275393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T MCKEON Administrator 503-391-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2014-08-19 |