| NPI | 1255472569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN SIKER Managing Physician Director 503-614-0603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: OR MD22182) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |