| NPI | 1952666216 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | NAINA A SACHDEV Owner 503-636-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |