| NPI | 1871864603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEJUNG SHIN President 503-747-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: OR MD22180) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |