| NPI | 1366518672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MCDONALD Owner 503-585-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D6531) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |