| NPI | 1962696096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BRODY Director Of Health & Counseling Ser 503-517-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |