| NPI | 1922209832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE L BLACKWELL Owner 503-656-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-10-31 |