| NPI | 1316152002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MARIE NEELANDS Secretary 503-253-7814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6593) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-08-05 |