| NPI | 1003829391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 503-813-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: OR A5867) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2022-06-23 |