| NPI | 1912045154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG D ANDERSON President 503-315-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 1557) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-10-26 |