| NPI | 1841485869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA C. MONROE Office Manager 503-657-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO11790) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |