| NPI | 1215109111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M SHAW Physician/Owner 503-252-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO25570) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2010-11-03 |