| NPI | 1861727414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY FARMER Graduate Medical Education 503-813-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR OR: 200841337-RN) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |