| NPI | 1356508014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D HAMILTON SIMS Owner/Dentist 503-234-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D8331) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OR D8631) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-08-24 |