| NPI | 1376709535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE SMITH VP/Enterprise Revenue Cycle 503-494-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2025-09-12 |