| NPI | 1881562437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WONSIL SAYSON Owner, Nurse Practitioner 503-567-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |