| NPI | 1912241746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ELLEN MAYS Sole Member 503-292-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD25708) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD25708) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2023-03-07 |