| NPI | 1164464616 |
|---|---|
| Former Legal Business Name | CLACKAMAS GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | BARBARA G TAUSCHER Executive Director 971-224-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-09-13 |