| NPI | 1023140159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE A. FOSTER President 503-649-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D6269) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |