| NPI | 1154680122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. WHIPPLE Owner 503-620-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6023) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |