| NPI | 1316103450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET THOMAS KEAN Owner 503-659-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD28348) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD28348) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2025-02-11 |