| NPI | 1972688919 |
|---|---|
| Other Name | OHSU CHILD DEVELOPMENT & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | DANNY O. JACOBS President 503-494-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208D00000X General Practice |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2022-04-08 |