| NPI | 1932109840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE LYNN SNOOK Assistant Administrator 503-517-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR 7054604) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |