| NPI | 1972950574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIN WEST CFO 503-941-3033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-05-08 |