MULTNOMAH COUNTY

NPI # 

Practice Address:

5405 Se Woodward St

Portland, OR, 97206-2168

Practice Phone:

503-988-3370

Practice Fax:

503-988-6120

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X