| NPI | 1144237728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN L. DONNELLY Partner 503-353-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D6577) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D6577) |
| 1223G0001X Dentist, General Practice (Licence: OR D8599) | |
| 122300000X Dentist (Licence: OR D8599) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-01-30 |