MULTNOMAH COUNTY

NPI # 

Practice Address:

1034 Se 130Th Avenue

Portland, OR, 97233

Practice Phone:

503-988-3554

Practice Fax:

503-988-4225

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X