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 |