| NPI | 1316535339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN SMITH Oral And Maxillofacial Surgeon 503-667-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-18 |