| NPI | 1194945865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL POLEN FREEDMAN Owner 503-226-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD09524) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |