| NPI | 1265417174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMISON President 503-963-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 160412) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR 160412) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OR 160412) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR 160412) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR 160412) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-02-27 |