| NPI | 1033398953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R MCALLISTER Owner 503-528-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD06467) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2011-08-29 |