| NPI | 1902067010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A KLATT Chief Operations Officer 503-325-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OR 1351854-3) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2015-11-06 |