| NPI | 1184893984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW T SUGALSKI Physician 503-659-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD26225) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD26225) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2009-06-25 |