| NPI | 1902013725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EDWARD KNAUS Owner 503-330-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 99007644) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-06-22 |