| NPI | 1922583616 |
|---|---|
| Doing Business As | CLINICAL SUPPORT PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | MANUEL RIVERA CEO 503-587-5116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-03-12 |