NPI | 1366745655 |
---|---|
Doing Business As | JANA M. REDDOCH,MD |
Entity Type | Organization |
Authorized Contact | JANA MARIE REDDOCH Md 503-297-8700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: OR 16638) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2010-12-08 |