MULTNOMAH COUNTY

NPI # 

Practice Address:

619 Nw 6Th Ave

Portland, OR, 97209-3964

Practice Phone:

503-988-3406

Practice Fax:

503-988-3407

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Community Health

Taxonomy Code:

261QC1500X