| NPI | 1932519659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANNETTE HARE Patient Resource Manager 503-345-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-10-30 |