| NPI | 1124088679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY SHAW Office Manager 503-416-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2086S0129X Surgery Vascular Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2018-06-16 |