| NPI | 1124199484 |
|---|---|
| Doing Business As | OREGON DERMATOLOGY AND RESEARCH CENTER |
| Entity Type | Organization |
| Authorized Contact | PHOEBE RICH Owner 503-226-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR MD14488) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-03-11 |