| NPI | 1932069788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MARSH Managing Owner 503-931-1114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| 261QH0100X Clinic/Center, Health Services | |
| 291U00000X Clinical Medical Laboratory | |
| 363L00000X Nurse Practitioner | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |