| NPI | 1114132487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L GALLOWAY President 503-615-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7359) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |