| NPI | 1356726418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN S ROSEBOROUGH Director 503-371-1756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OR MD150190) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-11-20 |