| NPI | 1043159924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRESTON MALMQUIST President 503-292-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-03-26 |