NPI | 1972919629 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA RASSI Office Manager 503-654-2101 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR 9245) |
Enumeration Date | 2014-07-02 |
Last Update Date | 2014-07-02 |