| NPI | 1144575267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY J EYRE Office Manager 503-581-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OR D6858) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2012-07-15 |