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 |