| 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 |