| NPI | 1952174757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY BECKLEY Clinical Operations Manager 503-482-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-06 |