| NPI | 1932579661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALSY JAMES CARTER Owner 503-716-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 5126) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-12-01 |