| NPI | 1013997873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E MORROW Owner 503-232-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD15485) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD23834) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-03-23 |