| NPI | 1871693564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD E CONRAD Vice President 503-635-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 12913) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2020-08-22 |