| NPI | 1982438362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX MARSH Managing Owner 503-931-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| 261QH0100X Clinic/Center, Health Services | |
| 291U00000X Clinical Medical Laboratory | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |