| NPI | 1205213303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALEIGH SCOTT PIOCH President 503-867-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9000) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-11-17 |