| NPI | 1871214304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LOOMIS CFO 503-415-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2023-03-28 |