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 |