| NPI | 1982092276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY CHILDS President 503-939-5541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR AC150966) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2016-10-22 |