| NPI | 1861980476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MCMULLIN CEO & Fnp C 503-887-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201709504NP-PP) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |