| NPI | 1881369361 |
|---|---|
| Other Name | TANASBOURNE KPOJ |
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 503-813-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-23 |