| NPI | 1891431557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE DENNIS Corporate Compliance Officer 503-214-1652 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-08-19 |