| NPI | 1255845889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ALAN DREESE Cwner 503-318-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |