NPI | 1164194775 |
---|---|
Entity Type | Organization |
Authorized Contact | KARI BORGEN Orthodontist 503-635-9371 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-10-01 |
Last Update Date | 2021-10-01 |