| NPI | 1912226218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE LOU HUFF-SLANKARD Pediatric Nurse Practitioner 503-232-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 66678393) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2011-05-31 |