| NPI | 1346678877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S TEN PAS Sr VP & President Of Ods 503-948-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR 6102) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |