| NPI | 1184086647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE M GRAHAM President 503-644-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6791) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |