| NPI | 1366583460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL ADLER Physician Director 503-614-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR MD10764) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-11-26 |