| NPI | 1184888307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH JASPER Manager 503-666-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D8879) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |