| NPI | 1225215015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSE PETERSON Billing 503-973-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OR MD23806) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2012-04-24 |