| NPI | 1942508411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA KATHLEEN SANNE RN, Fnp C 503-356-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OR 201050213NP) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-17 |