| NPI | 1295175396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA GIACOMELLI Practice Administrator 971-373-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2023-04-28 |