MULTNOMAH COUNTY

NPI # 

Practice Address:

619 Nw 6Th Ave

Portland, OR, 97209-3964

Practice Phone:

503-988-7468

Practice Fax:

503-988-3015

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Public Health, State or Local

Taxonomy Code:

261QP0905X