| NPI | 1962509430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FENTON MCBRIDE Ovner And Physician 503-384-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD19319) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2007-11-08 |