| NPI | 1891927661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JONATHAN EMERSON President 503-618-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 7087) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |