| NPI | 1851683403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA PARMETER Practice Manager 503-648-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO18724) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |